Multiple cerebral abscess post head injury

Case contributed by A.Prof Frank Gaillard

Presentation

This patient suffered a MBA overseas and was treated with a decompressive craniectomy. Upon return months later he became progressively unwell.

Patient Data

Age: 40 years
Gender: Male
CT

CT brain

Multiple peripherally enhancing lesions consistent with cerebral abscesses are seen extending to the ventricle with evidence of ventriculitis and menintitis. Obstructive hydrocephalus is also present.

Case Discussion

In patients who are already neurologically impaired, especially when there is discontinuity of care, gradual deterioration can be difficult to identify and this can lead to delayed diagnosis of complications. In this case severe intracranial pyogenic infection was present. 

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Case information

rID: 5533
Published: 31st Jan 2009
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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